Review
Neuroglia in neurodegeneration

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Abstract

Neuroglial cells are fundamental for control of brain homeostasis and they represent the intrinsic brain defence system. All forms in neuropathology therefore inevitably involve glia. The neurodegenerative diseases disrupt connectivity within brain circuits affecting neuronal–neuronal, neuronal–glial and glial–glial contacts. In addition neurodegenerative processes trigger universal and conserved glial reactions represented by astrogliosis and microglial activation. The complex of recently acquired knowledge allows us to regard the neurodegenerative diseases as primarily gliodegenerative processes, in which glial cells determine the progression and outcome of neuropathological process.

Section snippets

Neuroglia—the concept

The complexity of the cellular circuitry of human brain is unparalleled by any other living system known so far. The neural cells are exceedingly densely packed within a strictly limited volume of the skull, thus requiring a specific attention to the control of brain homeostasis throughout early development and postnatal functioning. This specific requirement is manifested in the highly developed brain–blood barrier, which essentially limits the impact of bodily homeostatic systems on the

Astrocytes organise the brain matter

The astrocytes provide for the micro-architecture of the grey matter by dividing it (through the process known as “tiling” (Bushong et al., 2004)) into relatively independent structural units. Each protoplasmic astrocyte dwelling in the grey matter establishes its own territory within the limits of its elaborated arbour of processes; this domain organisation exists in both rodents and humans (Bushong et al., 2002, Nedergaard et al., 2003, Oberheim et al., 2009, Wilhelmsson et al., 2006). Within

Neuroglia determines the outcome of neurological pathology

Glial cells are fundamental for the control of brain homeostasis, and they represent the intrinsic brain defence system. First, the homeostatic systems expressed in astrocytes prevent homeostatic imbalances triggered by various types of stressors applied to CNS. Second, two types of glia—the astrocytes and microglia—possess evolutionary conserved programs of activation in response to brain damage. A variety of brain insults trigger a condition generally referred to as reactive gliosis, which

Astrocytes in neurodegeneration and AD

The causes of neurodegenerative diseases are many, from traumatic or infectious attacks to intrinsic processes associated with genetic predispositions or the accumulation of sporadic errors of yet unknown origins. The neurodegenerative disorders, which affect the main human asset, the intellect, are in essence the failures of connectivity within brain circuitry. The astrocytes, being involved in synaptic birth, maturation and maintenance, as well as in controlling the brain homeostasis and

Amyotrophic lateral sclerosis

The primary pathological feature of ALS is the loss of motor neurones (Talbot, 2002), which is accompanied by a robust glial response including the activation of microglia and astrocytes as well as the expression of cyclooxygenase 2 (COX-2) and nitric oxide synthase (iNOS) in the spinal cord (Almer et al., 1999, Barbeito et al., 2004, Phul et al., 2000, Yasojima et al., 2001). The histological studies of post-mortem brains and spinal cord tissue were recently supported by a study using the PET

Concluding remarks

The neurodegenerative diseases result from the failure in brain connectivity, which is formed by neuronal–neuronal, neuronal–glial and glial–glial contacts. Contrary to past beliefs, which regarded neuropathology to be solely associated with neuronal malfunction and neuronal cell death, the new doctrine, which regards glia as a central element in neurological diseases is emerging. The neurodegeneration is driven by complex astroglial reactions which include astroglial atrophy with a subsequent

Acknowledgments

Authors research was supported by Deutsche Forschungsgemeinschaft, Deutsche Krebshilfe (10-6789) and the Wilhelm Sander foundation (2006.001.1) grants to MTH; Alzheimer's Research Trust (UK) Programme Grant (ART/PG2004A/1) to AV and JJR; National Institute of Health (NIH) grant to AV, Grant Agency of the Czech Republic (GACR 309/09/1696) to JJR and (GACR 305/08/1384) to AV.

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